Life Transitions Counseling LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078295-1 Issued in NY

Legal business name

LIFE TRANSITIONS COUNSELING LCSW, PLLC

Practice address

2 Pudding LN
Dix Hills, NY 11746-6118

Phone

(631) 432-8424

NPI assigned

Aug 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivy Firouztale, LCSW

Title

Member

Phone

(631) 432-8424

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1518367457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PUDDING LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466118",
            "telephone_number": "631-432-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PUDDING LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466118",
            "telephone_number": "631-432-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSITIONS COUNSELING LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "FIROUZTALE",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-432-8424",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.